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NPI Code Detail

MEDICARE: KARLA LUNDY NP

MEDICARE: KARLA LUNDY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner025902OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F08190304OTHERNP CERT NUMBER

General Provider Information

NPI Number : 1487298279
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA LUNDY NP
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 888-987-1151
Fax Number :
Provider Business Practice Location Address
First Line : 21800 LIBBY RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-2947
Country : US
Telephone Number : 216-547-0001
Fax Number : 888-355-6711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 03/10/2026

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